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Program Integrity Fraud Abuse

Federal category

Program Integrity Fraud Abuse

Program-integrity, fraud, abuse, exclusion, and enforcement provisions.

Cascade

Source collection

Federal

Category group

Payment Program Integrity

Category

Program Integrity Fraud Abuse

Grouped by instrument

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Instruments

16

Shown

42

Instrument

Citation

42 CFR § 424.210

In Program Integrity Fraud AbuseDocumentation Retention

Beneficiary engagement incentives under the Medicare Diabetes Prevention Program expanded model.

Group

Payment Program Integrity

Category

Program Integrity Fraud Abuse

Domain

Billing Reimbursement

Topics

Medicare diabetes prevention program, Beneficiary engagement incentives

Read

Citation

42 CFR § 424.530

In Program Integrity Fraud AbuseCompliance Programs

Denial of enrollment in the Medicare program.

Group

Payment Program Integrity

Category

Provider Enrollment

Domain

Billing Reimbursement

Topics

Medicare enrollment denial, Provider eligibility

Read

Citation

42 CFR § 424.535

In Program Integrity Fraud AbuseSurvey Certification Enforcement

Revocation of enrollment in the Medicare program.

Group

Payment Program Integrity

Category

Provider Enrollment

Domain

Billing Reimbursement

Topics

Medicare enrollment revocation, Provider billing privileges

Read

Citation

42 CFR § 424.80

In Program Integrity Fraud Abuse

Prohibition of reassignment of claims by suppliers.

Group

Payment Program Integrity

Category

Reimbursement Payment

Domain

Billing Reimbursement

Topics

Medicare claims reassignment, Supplier billing arrangements

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